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INSTRUCTIONS Acne vulgaris: A review of causes and treatment options

TEST INSTRUCTIONS

On the print form, record your answers in the test answer section of the CE enrollment form on page 32. Each question has only one correct answer. You may make copies of these forms.

Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

PROVIDER ACCREDITATION

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223.

Your certificate is valid in all states. This activity has been assigned 2.5 pharmacology credits.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Acne vulgaris: A review of causes and treatment options

General Purpose: The purpose of this learning activity is to provide information on the etiology and management of acne vulgaris. Learning Objectives: After reading this article and taking this test, you should be able to: 1. Identify the etiology of acne vulgaris. 2. Select treatment options for acne vulgaris.

What is the primary cause of acne vulgaris?

follicular degeneration

decreased sebum secretion

follicular degeneration and increased sebum secretion

increased sebum secretion and follicular plugging

Appropriate treatment of acne vulgaris is determined by the

size of the lesions.

severity and characteristics of the lesions.

patient's age.

patient's motivation to adhere to treatment.

The microcomedo refers to

blockage of the follicular canal.

distention of the follicle.

a firm, elevated white or yellow papule.

a blackhead.

Which statement aboutP.acnesis accurate?

It is normal flora and causes hyperkeratosis of the follicular lining.

It causes the pus found in comedones.

It contributes to the inflammation and irritation associated with acne.

It is responsible for the scarring associated with acne.

Which of the following statements about hormones is true?

A derivative of estrogen stimulates sebaceous gland size.

Females tend to experience a flare in acne when menstruation begins.

Acne severity correlates with the level of sex hormones secreted.

Secretion of sex hormones peaks in late adolescence.

Inflammatory papules, pustules, and cysts

are more responsive to treatment than noninflammatory lesions.

are often followed by hyperpigmentation that lasts for weeks or months.

are more common than noninflammatory lesions.

can be avoided if noninflammatory lesions are treated quickly.

Most acne treatments work by

opening plugged follicles.

reducing the production of sebum.

decreasing androgen levels.

decreasing bacterial load or breaking down the comedo.

Patient instructions should include

avoiding the overuse of acne products.

using an astringent cleanser to remove grease and debris from the face.

avoiding moisturizes as they interfere with topical acne medications.

scrubbing vigorously to remove debris that clogs facial pores.

Benzoyl peroxide is most effective for treatment of

inflammatory acne.

open comedones.

closed comedones.

noninflammatory lesions.

The most conventional topical antibiotic prescribed is

cefadroxil.

tetracycline.

clindamycin.

cephalexin.

Which medication is associated with Stevens-Johnson syndrome?

dapsone

sulfamethoxazole/trimethoprim

benzoyl peroxide

sodium sulfacetamide

Topical retinoids are first-line therapy for acne because they

produce results rapidly.

are gentle to the skin.

also serve as an effective sunscreen.

target the micromedo.

Which of the following medications shows greater effectiveness in females?

tazarotene

dapsone

azelaic acid

isotretinoin

It is essential that female patients not get pregnant while taking

adapalene

dapsone

azelaic acid

isotretinoin

Hormonal treatment of acne is

appropriate only for females.

most effective for males when started immediately following puberty.

contraindicated in females with polycystic ovary syndrome.

used to decrease estrogen levels.

Which dietary supplement is bacteriostatic againstacnes?

nicotinamide

zinc

copper

folic acid

Which statement about food and acne is correct?

There is strong evidence that chocolate and fried foods are acne triggers.

There is a strong correlation between milk consumption and increased acne lesions.

Diets with a high glycemic index may increase androgen levels and sebum production.

There is no scientific evidence that relates diet to the development of acne lesions.

When treating severe acne, tazarotene is recommended to be added to the regimen